The Times Australia
The Times World News

.
The Times Real Estate

.

Cannabis for therapeutic use is still out of reach for many sick New Zealanders, despite changes in the law

  • Written by Fiona Hutton, Associate Professor in Criminology, Te Herenga Waka — Victoria University of Wellington
Cannabis for therapeutic use is still out of reach for many sick New Zealanders, despite changes in the law

Access to cannabis-based products for medical reasons is technically legal in New Zealand. But changes to the legislation in 2020 have failed to make this potentially life altering option a reality for many.

Researchers from the University of Otago and Victoria University are exploring the therapeutic use of cannabis in New Zealand through interviews with people who use it to alleviate pain and the symptoms of debilitating illnesses.

Listening to stories of painful, highly complex medical conditions, and the efforts people have made to control their pain with various opioid-based drugs that left them feeling like zombies, has been hard.

But hearing how using cannabis products changed people’s lives and meant they could cut down or, in some cases, completely stop the use of pain killers and other drugs with crippling side effects, has been very positive.

Often these stories involved the work of so-called “green fairies” who focus on producing quality health products and have caring relationships with their patients – but who grow the cannabis illegally.

The role of ‘green fairies’

Some green fairies also have a great deal of knowledge about the potency of their products, what different varieties of cannabis can be used for, and how to prepare and use cannabis products for various conditions.

Read more: Cannabis education should aim to normalize — not prevent — safe and legal use[1]

Those patients who have taken part in the research project so far have talked about cannabis products as a “miracle” and a “life saver” – literally, as some were so overwhelmed by living a life with chronic pain that they sought to end it.

Parents whose children suffered from difficult and sometimes debilitating medical conditions said using cannabis products eased suffering and enabled their children to live “normal” lives.

Self medication of CBD oil using an eye dropper
Cannabis-based products can technically be prescribed by doctors but new research shows most people still access items from illegal sources. David Trood/Getty Images[2]

Miracles at the margins

Yet all these stories – these “miracles” – exist on the margins, as cannabis products are often unattainable[3] outside of the underground illicit market.

Green fairies provide access for patients under constant threat of prosecution[4] themselves.

Ironically, many of those who now sit outside the legal system advocated for the Medicinal Cannabis Bill[5] in 2018. Their success meant the introduction of legislation aimed at large, for-profit corporations with the resources to make products following strict guidelines and complex regulations, but which excludes smaller producers.

Read more: The numbers suggest the campaign for cannabis reform in NZ will outlive the generations that voted against it[6]

Cannabis was first made available in New Zealand for therapeutic purposes in 2010[7], albeit under strict guidelines.

It was not until 2017 that cannabidiol (CBD) products containing non-psychoactive cannabis compounds were able to be prescribed more widely by general practitioners (GPs) without the approval of either the minister or the Ministry of Health.

It took a further three years for products containing tetrahydrocannabinol (THC), the psychoactive cannabis compounds, to be prescribed by GPs without the approval of the government.

For people living with painful, chronic conditions, this was a long time to wait.

Available and accessible? Not quite

The Misuse of Drugs (Medicinal Cannabis) Amendment Act of 2018 and the 2020 Medicinal Cannabis Scheme (MCS), should mean medicinal cannabis products are available and accessible.

Sadly, this is not the case for a large number of people.

Problems include the cost of prescribed cannabis products and the reluctance of GPs to prescribe them, alongside the complex regulatory and compliance scheme accompanying the new law.

Only a small number of products have been approved under the 2020 scheme, mainly due to stringent standards and licence requirements that exclude small producers and growers.

Read more: If reducing harm to society is the goal, a cost-benefit analysis shows cannabis prohibition has failed[8]

Although the cost has reduced in the past few years, the price of products – around $200 per month regardless of whether they are CBD or THC based – is still too high for those on limited incomes.

Research conducted in 2019 found fewer than 5% of respondents got their cannabis products via a GP, with most still accessing cannabis via the underground market[9] or being gifted it by family or friends.

Only 1.56% of interview respondents involved in the current research project access cannabis products through their GP, with several citing cost as a barrier.

GPs are reluctant to prescribe cannabis[10] as an alternative to conventional medications given the lack of clinical studies into its efficacy – despite studies showing[11] the majority of those who used some type of cannabis product therapeutically did so to ease chronic pain.

Bag of cannabis sitting next to a bottle of yellow pills.
Campaigners would like cannabis products to be more accessible. Cappi Thompson/Getty Images[12]

A less complicated approach

The issues involved in developing a more affordable and accessible scheme to enable therapeutic use of cannabis in New Zealand are complex, fraught with seemingly insurmountable barriers, as well as bound by bureaucracy. However, cannabis-based products could be made available without the need for a GP’s prescriptions.

Some therapeutic cannabis products could also be reclassified as natural health products, allowing them to be purchased over the counter as has happened in the United States and Europe.

This approach could bring relief to thousands and give legitimacy to patients, growers and producers seeking to alleviate pain and suffering.

This would also allow[13] clear labelling about dosage, CBD/THC content and warnings about incompatibility with other medications.

Patients would be able to access affordable products more easily and the need for GPs to prescribe products they may not be comfortable with is removed.

Recent legalisation on drug checking[14] also means cannabis products could be tested to ensure some level of product safety.

Such alternative pathways urgently need to be developed, alongside clinical trials.

In the meantime, the bureaucratic processes around what is and isn’t acceptable under complex and onerous regulation grind slowly on, and those with severe and debilitating conditions risk criminalisation or financial hardship to use products that ease their suffering.

References

  1. ^ Cannabis education should aim to normalize — not prevent — safe and legal use (theconversation.com)
  2. ^ David Trood/Getty Images (www.gettyimages.com.au)
  3. ^ often unattainable (www.nzherald.co.nz)
  4. ^ prosecution (www.nzherald.co.nz)
  5. ^ Medicinal Cannabis Bill (www.legislation.govt.nz)
  6. ^ The numbers suggest the campaign for cannabis reform in NZ will outlive the generations that voted against it (theconversation.com)
  7. ^ therapeutic purposes in 2010 (bpac.org.nz)
  8. ^ If reducing harm to society is the goal, a cost-benefit analysis shows cannabis prohibition has failed (theconversation.com)
  9. ^ underground market (pubmed.ncbi.nlm.nih.gov)
  10. ^ reluctant to prescribe cannabis (www.stuff.co.nz)
  11. ^ studies showing (pubmed.ncbi.nlm.nih.gov)
  12. ^ Cappi Thompson/Getty Images (www.gettyimages.com.au)
  13. ^ would also allow (theconversation.com)
  14. ^ drug checking (www.stuff.co.nz)

Read more https://theconversation.com/cannabis-for-therapeutic-use-is-still-out-of-reach-for-many-sick-new-zealanders-despite-changes-in-the-law-184235

The Times Features

Discover the Charm of a Girl's White Dress

Key Highlights Timeless elegance: White dresses feel pure and have classic charm. They are perfect for many types of events. Versatile styles: You can pick from lace, embroid...

Top Medical Grade Red Light Therapy Devices in Australia

Key Highlights Lumitter™ has advanced red light therapy devices that combine new ideas with wellness. Red light therapy helps lower pain and swelling and boosts skin health. ...

Why Regional Small Businesses in Bendigo Deserve Better Access to Finance in 2025

In the heart of regional Victoria, Bendigo has long stood as a beacon of innovation, resilience and community spirit. As we step further into 2025, the importance of nurturing sm...

Is It Time for a Deep Cleaning? Signs You Shouldn’t Ignore

Most people know they should visit the dentist for a regular check-up and cleaning every six months. But sometimes, a standard cleaning isn’t enough. When plaque and tartar build...

The Hidden Meaning Behind Popular Engagement Ring Cuts

When it comes to engagement rings, the cut of the diamond is not just about aesthetics. Each shape carries its own symbolism and significance, making it an important decision for...

Annual Health Exams in the Office: How They Can Reduce Sick Days and Healthcare Costs

Regular health check-ups, especially annual health exams in the office, can significantly impact the overall well-being of your workforce. A proactive approach to employee health...

Times Magazine

The Essential Guide to Transforming Office Spaces for Maximum Efficiency

Why Office Fitouts MatterA well-designed office can make all the difference in productivity, employee satisfaction, and client impressions. Businesses of all sizes are investing in updated office spaces to create environments that foster collaborat...

The A/B Testing Revolution: How AI Optimized Landing Pages Without Human Input

A/B testing was always integral to the web-based marketing world. Was there a button that converted better? Marketing could pit one against the other and see which option worked better. This was always through human observation, and over time, as d...

Using Countdown Timers in Email: Do They Really Increase Conversions?

In a world that's always on, where marketers are attempting to entice a subscriber and get them to convert on the same screen with one email, the power of urgency is sometimes the essential element needed. One of the most popular ways to create urg...

Types of Software Consultants

In today's technology-driven world, businesses often seek the expertise of software consultants to navigate complex software needs. There are several types of software consultants, including solution architects, project managers, and user experienc...

CWU Assistive Tech Hub is Changing Lives: Win a Free Rollator Walker This Easter!

🌟 Mobility. Independence. Community. All in One. This Easter, the CWU Assistive Tech Hub is pleased to support the Banyule community by giving away a rollator walker. The giveaway will take place during the Macleod Village Easter Egg Hunt & Ma...

"Eternal Nurture" by Cara Barilla: A Timeless Collection of Wisdom and Healing

Renowned Sydney-born author and educator Cara Barilla has released her latest book, Eternal Nurture, a profound collection of inspirational quotes designed to support mindfulness, emotional healing, and personal growth. With a deep commitment to ...

LayBy Shopping